KWD-form - Kentucky Weight Distance

Carrier Info Confirm Your Official Representative
Vechicle Details Add Vehicles
Payment Info Pay to Complete Registration

Carrier Information

Step 1 - 3

Who is Filing the Form?*

Your USDOT*

Email Address*

Business Phone*

Are You the Owner of the Company?

Yes No

Carrier Tax ID*

Business Type

Sole Proprietor Corporation Partnership Other

Select Required Filing

KYU KIT

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Mailing Address is the Same as Physical Address

Mailing Address

Vehicle Details

Step 2 - 3

VIN*

License Plate*

Issued State*

GVW*

Vehicle Year*

Make*

Model*

Unit*

No.	Year, Make & Model	Licence Plate#	GVW	Action
START ADDING VEHICLE
Total Cost: $

Payment Information

Step 3 - 3

Order Details

Vehicle Total	:
Total Cost	:	$

Billing Address

New Billing Address

Billing Address Same as Physical Address

Billing Address Same as Mailing Address

Street

City

State*

Zipcode

I certify that I am the authorized holder and signer of the credit card referenced above. I certify that all information above is complete and accurate.

I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the “TOTAL COST” field. I understand this is only for up to this amount on the date listed below in the "DATE SIGNED" field. If additional charges are going to be authorized a new form will have to be completed.

The “TOTAL COST” includes all Federal, State and Local Government fees.

I hereby, acknowledge and agree that after the charges are authorized a DOT Operating Authority agent is assigned in 15 minutes to run the order. Once the agent is assigned the charges become non-refundable.

I agree with the Terms and Conditions
I agree to receive reminders by text to file my taxes for this filing.

Name of person signing

Title

Official Representative

Date signed

04/19/2024

Signature

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Kentucky Weight Distance Tax (WDT) Form